Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.38 / $23.41 / $134.96	Facility	26	$22.38	$23.41	$134.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $170.91 / $660.40	Professional		$152.30	$170.91	$660.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.77 / $221.69 / $655.15	Professional		$147.77	$221.69	$655.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $104.39 / $170.75 / $398.71	Professional		$104.39	$170.75	$398.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $215.02 / $712.67	Professional		$135.85	$215.02	$712.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $149.04 / $358.64	Professional		$99.36	$149.04	$358.64
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.92 / $17.88 / $28.92	Professional	26	$11.92	$17.88	$28.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.56 / $298.87 / $530.04	Professional		$233.56	$298.87	$530.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.69 / $30.16 / $52.54	Professional	26	$21.69	$30.16	$52.54
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $52.63 / $107.30 / $297.00	Facility	26	$52.63	$107.30	$297.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,009.00 / $9,009.00 / $9,009.00	Professional		$9,009.00	$9,009.00	$9,009.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $231.15 / $661.54	Professional		$138.66	$231.15	$661.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $734.08 / $734.08 / $734.08	Professional		$734.08	$734.08	$734.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $168.91 / $332.41	Professional		$99.36	$168.91	$332.41
United Facility/Professional Professional Modifier Low / Median / High Price $116.24 / $221.95 / $748.74	Professional		$116.24	$221.95	$748.74